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Biomedical subjects

K A Stanek

Publications and source records attributed to K A Stanek.

11 recordsLinked to original sources

Pleural effusion with rheumatoid arthritis.

Pleural effusions complicating rheumatoid arthritis occur most commonly in middle-aged men. The majority of these individuals will be symptomatic with pleuritic chest pain and/or dyspnea. Rheumatoid pleural effusions have distinct chemical characteristics including elevated LDH, low glucose and low pH. The finding of a rheumatoid nodule on pleural biopsy, is pathognomonic of a rheumatoid associated pleural effusion. Treatment of this spectrum of the disease is aimed at preventing progressive pleural fibrosis.

Arthritis, Rheumatoid↗

Residual effects of ether anesthesia on whole-body hemodynamics and organ blood flows in the rat.

This study was designed to determine the short-term residual effects of ether anesthesia on hemodynamics and blood flow distribution in the rat. Eighteen male Sprague Dawley rats were instrumented and allowed to recover for at least 2 days before beginning the experiment. Using microspheres, cardiac output, and blood flow distribution were determined at five different periods: before ether anesthesia; at a surgical level of ether anesthesia; and 20 min, 1 hr, or 3 hr after cessation of anesthesia. Ether anesthesia initially decreased arterial pressure, increased cardiac index, and decreased total peripheral resistance. The residual effects of ether included progressive increases in arterial blood pressure and an increase in total peripheral resistance index. Cardiac index was returned to normal 1 hr after termination of anesthesia. Blood flow to the brain and heart increased during anesthesia and was significantly elevated 1 hr later. Other organs, including kidney, spleen, and intestine showed a decrease in blood flow during anesthesia, which persisted for at least 20 min. Thus, ether anesthesia produced acute and residual disturbances in hemodynamics and blood flow distribution, which may have an untoward influence on concomitant experimental observations.

Anesthesia, Inhalation↗

Whole body structural vascular adaptation to prolonged hypoxia in chick embryos.

We studied the role of hypoxia in the development of the blood vascular system using functional measurements of whole body and hindlimb structural vascular resistance in the chick embryo. The method is based on a newly developed whole body perfusion technique in which the maximally dilated blood vasculature of 14- to 15-day chick embryos is perfused through the extraembryonic blood vessels. Embryos were grown in 12% oxygen (Po2 65 mmHg, n = 18) or 16% oxygen (Po2 96 mmHg, n = 19) for the last 7 days of incubation and were compared with weight-matched (n = 17) and age-matched (n = 18) normoxic control groups (Po2 134 mmHg). Pressure-flow curves were generated for all embryos by increasing and decreasing the aortic pressure along 1-mmHg steps over a pressure range of 0-6 mmHg. Venous pressure was held at 0 mmHg by allowing the perfusate to flow freely from severed extraembryonic veins. The hydraulic resistance of the maximally dilated vascular bed, called the "structural vascular resistance," was decreased in a dose-related manner in the hypoxic groups to greater than 50% of control in the whole body and hindlimbs of the 12% oxygen group. The vessels of the 12% oxygen group were able to carry two and three times as much flow to the whole body and hindlimb tissues, respectively, as compared with the weight-matched normoxic control group. Therefore, the results support the hypothesis that prolonged exposure to hypoxia causes the blood vascular system to adapt its structure to allow greater amounts of blood to flow to the tissues at any given perfusion pressure gradient.

Adaptation, Physiological↗

Hemodynamic monitoring for 24 h in unanesthetized rats.

A new technique is described that allows minute-to-minute recordings of cardiac output and arterial pressure in unanesthetized rats for periods of 24 h and longer. Rats were instrumented with electromagnetic flow probes and arterial catheters. An electrical and hydraulic swivel was interposed between the rat and recording apparatus to allow free range of movement. Data were collected and analyzed once each minute by computer. Average 24-h values (mean +/- SD) for the following hemodynamic variables were determined in eight rats [expressed where appropriate as a function of body weight (BW)]: cardiac output (98.1 +/- 14.7 ml/min), cardiac index (29.2 +/- 4.4 ml.min-1.100 g BW-1), mean arterial pressure (92.5 +/- 7.8 mmHg), heart rate (347 +/- 45 beats/min), peak aortic flow (403 +/- 32 ml/min), stroke volume (282 +/- 26 microliters), stroke volume index (84.4 +/- 8.1 microliters/100 g BW), and total peripheral resistance index (3.26 +/- 0.46 mmHg.ml-1.min.100 g BW). These results provide a data base of hemodynamic values for unanesthetized adult, Sprague-Dawley male rats, which has not been previously available. In addition, cardiac index, mean arterial pressure, and total peripheral resistance index demonstrated diurnal variation. Diurnal variation contributed substantially to the overall variance observed within these variables. Hourly variance was also substantial and indicates the use of continuous recordings for short-term experiments.

Animals↗

Overall hemodynamic pattern in coarctation of the abdominal aorta in conscious rats.

This study was designed to examine the total body hemodynamics of abdominal aortic coarctation hypertension. The study quantitates both regional and organ blood flow and resistance in conscious rats both above and below an experimentally produced coarctation. The experimental group consisted of 10 male Sprague-Dawley rats with a mean pressure gradient of 68 mm Hg across the coarctation. This experimental group was compared with a group of eight control rats with no pressure gradient. Flow measurements were made with radioactively labeled microspheres 4 weeks after aortic constriction. This aortic coarctation produced an increase in cardiac index (22%) and total peripheral resistance (19%). Blood flow through tissues proximal to the coarctation was not different from control; vascular resistance was increased (31%). Flow through the tissues distal to the coarctation was increased (16%); vascular resistance was decreased (-22%). The upper carcass, diaphragm, and brain were the tissues most representative of flow above the coarctation, and the lower carcass and large intestine were the tissues most representative of flow below the coarctation. Coarctation of the aorta produced cardiac hypertrophy and increased microsphere shunting to the lungs.

Animals↗

Two hemodynamic problems commonly associated with the microsphere technique for measuring regional blood flow in rats.

The purpose of this study was to reevaluate two major steps associated with the radioactive microsphere technique in rats; the hemodynamic effects of the solutions used to inject the microspheres, and the hemodynamic effects of repeated blood withdrawals. With regard to the first, Flaim et al. (1978) have shown that 1.0 ml of 10% dextran injected into the rat may result in a severe pressure drop. The present study showed that even 0.1 ml of 10% dextran caused significant hypotension 46% of the time. Six other mediums were also tested as possible suspending media. It was concluded that a dextrose solution (sp gr 1.3) was the best microsphere injection medium based on the length of time the microspheres stayed mixed in the solution and the minimal hemodynamic alterations caused during injection. With regard to the second concern, cardiac output decreased approximately 7% with each reference sample withdrawal. When volume was replaced with a Ficoll-70 solution, cardiac output decreased less than 3%. These data show that repeated blood withdrawals are possible as long as the volume of blood is replaced. Thus, several isotopes can be injected in the same rat to allow measurement of regional blood flow under different experimental conditions.

Animals↗

Changes in regional blood flow and cardiac output after L-glutamate stimulation of A5 cell group.

Changes in regional blood flow and cardiac output were measured by the reference organ method in pentobarbital-anesthetized rats with radioactive microspheres (15 microns) before and after chemical stimulation of the A5 cell group with the excitatory amino acid L-glutamate an agent that excites cell bodies but not fibers of passage. This stimulation caused a decrease in mean arterial pressure, heart rate, cardiac output, and calculated stroke volume. The limb skeletal muscles showed a large increase in blood flow and decrease in vascular resistance, whereas the trunk musculature showed no change in flow or resistance. The blood flow of the entire gastrointestinal tract decreased. Blood flow in the skin decreased with no change in resistance. The cardiac muscle of the ventricles showed a decrease in flow without a change in resistance. The ipsilateral half of the brain showed a decrease in blood flow, while the contralateral side showed no change. The kidneys exhibited no change in blood flow and a decrease in resistance. A5 stimulation in guanethidine-sympathectomized rats caused no change in regional blood flow. In contrast, an increase in cardiac output was observed, and the possible interpretations for this change are discussed. Rats treated with intraventricular injections of 6-hydroxydopamine showed no changes in regional blood flow or cardiac output, indicating that catecholamine neurons are involved in these responses.

Animals↗

Hemodynamic disturbances in the rat as a function of the number of microspheres injected.

The purpose of this study was to reevaluate the radioactive microsphere technique used to measure blood flow distribution. The rats were conscious when studied. A dextrose solution with specific gravity of 1.3 was used as the suspension media instead of 10% dextran, which has previously been shown to cause hypotension. The microspheres were injected into the left atrium, which provided for maximal mixing with the blood before being ejected into the aortic arch. Ficoll-70 was given after each reference sample as a fluid replacement. With these modifications an injection of 360,000 microspheres or less caused no hemodynamic disturbances, as judged by electromagnetic flowmetry. After 1.4 X 10(6) microspheres had accumulated in the rat (several injections) the only significant hemodynamic disturbance was a decreased heart rate. This study establishes the limits in the rat regarding the number of microspheres that can be injected before hemodynamic disturbances result.

Animals↗

Measurement of renal artery pressure in the rat.

The objective of this study was to develop and document a simple technique for the direct measurement of renal artery pressure (RAP) in the rat. RAP was recorded in 13 Sprague-Dawley rats using a glass micropipette fitted to a low displacement pressure transducer. Average mean arterial pressure recorded from a femoral artery catheter was 107.2 +/- 3.2 mmHg compared with a RAP of 103.8 +/- 3.7 mmHg (P less than 0.05). To determine whether the measurement affected renal blood flow (RBF), RBF was determined using radiolabeled microspheres, both before and while recording left RAP. No differences existed between the initial left and right RBFs [7.3 +/- 0.4 %CO/gm (percent cardiac output per gram tissue) vs. 7.3 +/- 0.4 %CO/gm, P greater than 0.9]. The micropipette in the left renal artery did not alter left RBF (control, 7.3 +/- 0.4 %CO/gm vs. experimental, 7.6 +/- 0.4 %CO/gm; P greater than 0.2). Right RBF did not change between successive flow determinations (P greater than 0.5) indicating that a change in renal hemodynamics unrelated to the protocol did not occur. The techniques presented provide an accurate, simple method for the direct measurement of RAP in the rat.

Animals↗

Effect of hyperoxia on oxygen consumption in exercising ponies.

Published reports of oxygen consumption (VO2) during exercise in hyperoxia are equivocal. By and large, when measured at the lung using respiratory gas equations, VO2 is elevated in hyperoxia and, when measured at the blood-tissue level using the cardiovascular Fick (CVF) equation, it is unchanged. We sought to provide some insight into this problem by making through the use of both equations simultaneous determinations of VO2 during hyperoxia in exercising ponies. In normoxia, during treadmill exercise (115 m/min, 10% grade) of seven ponies, there was no difference in exercise VO2, whether it was measured by the Haldane transformation (HT) or CVF equations (P greater than 0.05). In hyperoxia, the exercise VO2 was significantly increased from the normoxia condition (P less than 0.05) when measured by the HT equation but not when measured by the CVF equation (P greater than 0.05). By use of the CVF equation as the method of choice for VO2 determinations in hyperoxia, the present data show no change in exercise VO2 in the hyperoxic condition.

Animals↗

Effects of graded renal artery constriction on blood pressure, renal artery pressure, and plasma renin activity in Goldblatt hypertension.

One-kidney, one clip (1K1C) and two-kidney, one clip (2K1C) Goldblatt hypertension was produced in rats by placing 0.30, 0.25, or 0.20 mm silver clips on the left renal artery. Mean arterial pressure (MAP) and plasma renin activity (PRA) were measured in conscious rats 24 to 28 days after clipping. The MAP in control rats (n = 38) was 116 +/- 1 mm Hg (mean +/- SEM). The 0.30, 0.25, and 0.20 mm clips produced MAPs of 133 +/- 2, 161 +/- 5, and 189 +/- 5 mm Hg, respectively, in 1K1C rats, and 123 +/- 2, 129 +/- 3, and 172 +/- 5 mm Hg in 2K1C rats (n = 17-20). When 1K1C and 2K1C groups were compared, MAP was significantly greater in 1K1C rats at all clip sizes. No treatment group's PRA was different than control (4.8 +/- 0.4 ng AI/ml/hr), except for the 0.20 mm 2K1C rats (16.2 +/- 3.1 ng AI/ml/hr). Renal artery pressure (RAP) was measured in another series of experiments and was not different from control in all but the 0.20 mm 1K1C rats. With identical clip sizes, 2K1C rats showed smaller pressure gradients than 1K1C across the clips: 0.30 mm, 8.5 +/- 1.7 vs 10.7 +/- 1.9 mm Hg; 0.25 mm, 16.5 +/- 1.2 vs 42.1 +/- 7.5 mm Hg; 0.20 mm, 51 +/- 5.3 vs 79.1 +/- 5.7 mm Hg (n = 8-12). Therefore, both the increase in MAP and the pressure gradient across the clip were greater in the 1K1C rats at every clip size.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗